Pulmonary 2

Question 1

What type of influenza vaccine is most commonly used in the U.S.?

Answer 1

Inactivated!

Question 2

What are the only 2 cases of acute bronchitis requiring antibiotic therapy?

Answer 2

COPD pts; Bordetella pertussis

Question 3

What is the typical chest radiograph of pulmonary embolism?

Answer 3

Completely normal!

Question 4

What is now the most common cause of scleroderma-related morbidity and mortality?

Answer 4

Lung disease

Question 5

What type of lung disease is most commonly associated with systemic sclerosis? With CREST?

Answer 5

Interstitial lung disease; pulmonary htn

Question 6

The clinical Dx of _______ requires a specific exposure that is temporally related to the development of the lung disease, and the high-res CT scan pattern is generally one of centrilobular nodules with areas of focal air trapping.

Answer 6

Hypersensitivity pneumonitis

Question 7

Reduced O2 sat and bibasilar end-inspiratory Velcro-like crackles.

Answer 7

Pulmonary fibrosis

Question 8

Bilateral hilar lymphadenopathy + polyarthralgias + erythema nodosum =

Answer 8

Sarcoidosis (Löfgren’s syndrome)

Question 9

What medication (at what kind of dose) should be given as prophylaxis for venous thromboembolism in ICU pts?

Answer 9

Low dose heparin

Question 10

What Tx should be given to pts heterozygous for the Factor V Leuden mutation with recurrent thromboses?

Answer 10

Long term warfarin w/ a target INR of 2-3

Question 11

Spirometry values (FVC, FEV1) greater than ___ of predicted are considered normal.

Answer 11

80%

Question 12

An FEV1/FVC ratio of greater than ___ of predicted is considered normal.

Answer 12

75%